05-3406 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00003406 I
81952 CONTENTO
767-200-011-10 -318741-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
191320
c&ht 4.4& Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TAYLOR WOODROW, HOMES, INC.
15 CUSHING
DETACHED IRVINE, CA 92618
(341)000-1200'
,,e')�rchitect or Engineer:
�cF-7wG4%SSI_
Contractor:
TAYLOR WOODROW HOMES INC
15 CUSHING
IRVINE, CA 92618
(760)275-0598
Lic. No.: 352047
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/03/05
D °L 0
AUG 0 S 1005 ,
CITY OF LA QUINTA
--------------------------------7------------------7---------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 352047
b / /
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
/
Date�ntractor.0 !/—�'
� !haveand will maintain workers' compensation insurance, as required by Section 3700 of the Labor
••//"
Code, for the performance of the work for which this permit is issued. My workers' compensation
O R•BUILDER DECLARATI
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor' State License Law for the
Carrier LIBERTY MUTUAL Policy Number WA76SD283614055
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
,person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
- 3700 of the Labor Code, I shall f it comply with those provisions. '
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: pplicant:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WO KERS' CO ENSATION COVERAGE IS U LAWFUL, AND SHALL .
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO O E HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, D AGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). '
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
pursuant to -the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
APPLICANT ACKNOWLEDGEMENT -
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.,,
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, anq hereby authorize representatives
of this county to enter upon above-mentioned property for inspect; es.
Date: ignature (Applicant or Agent):
Application Number . . 05-00003406
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee
961.50
Plan Check Fee
624.98
Issue Date . .
. .
Valuation
191320
Expiration Date
1/30/06
Qty Unit
Charge
Per-
Extension
BASE
FEE
639.50
92.00
---------------=--------------------------
3.5000
THOU BLDG
100,001-500,000
----------------------------------
322.00
Permit
MECHANICAL
Additional desc
. .
Permit Fee . .
. .
108.00
Plan Check Fee
27.00
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
1/30/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.0.0
3.00
9.0000
EA MECH
FURNACE <=100K
27.00
3.00
9.0000
EA MECH
B/C <=3HP/100K BTU
27.00
6.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
39.00
Permit .
. .
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee . .
. .
134.85
Plan Check Fee
33.71
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
1/30/06
Qty Unit
Charge
Per.,Extension
BASE
FEE
15.00
3047.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
106.65
660.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.20
Permit .
. .
PLUMBING
Additional desc
.
Permit Fee . .
. .
174.75
Plan Check Fee
43.69
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
1/30/06
Qty_ Unit
Charge
Per
Extension
BASE
FEE
15.00
17.00
6.0000
EA PLB
FIXTURE
102.00
1.00 15.0000
EA PLB
BUILDING SEWER
15.00
1.00
7.5000
EA PLB
WATER HEATER/VENT
7.50
LQPERMIT
Application Number . . . . 05-00003406
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
1.00 3.0000'EA
PLB WATER.INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
1.00 15.0000
----------------------- -----------------------------------------------------
EA PLB GAS METER
15.00
Permit . . . GRADING PERMIT
Additional.desc .'.
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date
1/30/06
Qty Unit Charge
Per
Extension
=
BASE FEE
15.00
---------------------------------------------------------------------------
Special Notes and Comments
SFD -.LOT 10, PLAN 4c,
3047 SF. 2001
CODES. PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL,.SPA
OR DRIVEWAY APPROACH.
----------------------------------------------------------=-----------------
Other Fees . . . . ...
. . . DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
62.50-
2.50DIF
DIFFIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
19.13
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total
1394.10 .00 .00
1394.10
Plan Check Total
729.38 .00 .00
729.38
Other Fee Total
2486.63 .00 .00
2486.63
Grand Total
4610.11 00 .00
4610.11
LQPERMIT
Z! S'!A L f
,4A1!V,S L-D-KAUX 4.91 ffgp 3 o 13)
A. 0
51ti'Addh6iii"" qS-7— co
DUCT LEAKAGE AND DESIGN DIAGNOSTICS
DUCT LEAKAGE It "DIUMON.
Pressurization Test Results (.CFM @ U PA) Test Leakage (CFM:) 5L
Fan Flow
If Fan Flow is Calculated as 400 cfrrVton x number of tons, or as 21.7 x Hating: Capacity
In Thousands, - of, here
Iffan flow Is-m6.a§.;jr.ed, enter f.neoourq ehsre
Leakage Fraction Test le gct,(,-M
Pas if leakage>fsaction < 0:06
Pass Fail
c3For AEROSOL TYPE SEALANTS ON,LY-,T,,bpfollow�iqg,idiagnostic testing was-co,m,p.],;tgd:
Duct an Pre n., t u
.F io ro,
CHECK AMR FMISHING WALL:
(3 Yes a No a Pressure-pan-lestor House pressunzadomtest
0 Yes 0 No a Visual Inspection ofDuct .Connections
Pap Fail
O THE .I WMANSION M& M
OYes ONo Thermostatic fixpansion Valve is installed and .'Aqcess is - provided,..forinsi),ect.ion.
Yes -is a:pass
O 1), =17, PMIGN
ACCA t4anqafiD.';;Snc
-,I '
1. Ei Yes a No
compft ted, Duet Design.isonthe._.p
me . es'-plaps.
2. o Yes a No 1XV is ips1;lled.or-Fan fIc:w*W.,-..V
.;b;A4tyOfiedi Ifno 7, 0 0
verifi.ed,fan Q.bw'mal#he$%4 . Osjgn from .C,&EFL Pass Fail
Measured. Fap,:Flq.w
Ye3,for both I and 2 is aPus
0 1, the undasisned,.vctiY.timt-thc,.abov0 dip QsOctestresu' its,ofte work .l.pwfor%me
d.-;nciated wft.thsms
Xs))I
minfc
Qn(qm
=
cO
withthe,recolmen 1MM.;rpv1dor the LSne&.syftbuilder
eMPIoyMLor8Ub_ConU=ICst SAbdisShostic%testin4610thdonmeetrnen complfcovmIt.)
A-_)_3 0 Li LDr-
a st
TWO %n�re.b fii In 'Allihg Subcontractor (CQ'
OR
Performed GencralContractori(Co.Name)
WPM: Evildin.8-O.Opg
O'r
nt
E�.Pip r (if applicable)
Buildin O.WnerratOccup
1 .,94 , ancy
Compliance Formi 44uitiboli
02/24/2006 15:48 951-686-8786 WESTERN INSULATION PAGE 08/21
WESTERN INSULATION, L.P.
4211 Latham Street, Rivcreid.% California 92501
Tc1. (909) 686.8760 Fax (909) 686-6786
CFGR INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATION, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
TRACTIPHASE: CARMELA (P.LA QUNITA I PHASE 1
LOT 10
SITE ADDRESS: 81-952 CONTENTO - LA QUINTA, CA
-
----------------------------------------------------------- ----
OILING$: BLOWING WOOL
MANUFACTURER: GREENFIBER THICKNESS: 10.3" R- VALUE: R-38
CEILINGS: BATTS
MANUFACTURER; KNAUF' THICKNESS: 12" R- VALUE: R-38
9MRIOR Vire: BATTS
MANUFACTURER: KNAUF THICKNESS: 6'/: R- VALUE.: R-19
PLYMBING BAYS-: (BATHS ONS BATTS
MANUFACTURER: KNAUF THICKNESS: 3'/" R -VALUE: R-11
GEN�CONTRA;CTaR: TAYLOR WOODROW HOMES
BY:
TITLE:
DATE:
INaSULATIObI CONTRACTOR: WESTERN INSULATION, L.P.
LICENSE NUMBER 794484
BY: 0 AA 44t;X 61
TITLE; PRIDUCTfON MANAGER
DATE: FEBRUARY 24, 2008